Organization
WHOLESOME WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAHID MOGHAVAM (CEO)
(916) 674-0476
Entity
Organization
Contact information
Practice address
19524 NORDHOFF ST STE 4A, NORTHRIDGE, CA 91324-2433
(916) 674-0476
Mailing address
19524 NORDHOFF ST STE 4A, NORTHRIDGE, CA 91324-2433
(916) 674-0476
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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